Individual
DR. RANDALL NIX GOODROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Mailing address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23353
SC
207RI0011X
Interventional Cardiology Physician
Primary
23353
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233535
—
SC
01
—
383781722
PRACTICE TAX ID
SC
Enumeration date
09/29/2006
Last updated
01/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us